Role of bovine herpesvirus type 5 (BoHV-5) in diseases of cattle. Recent findings on BoHV-5 association with genital disease.

Bovine herpesvirus type 5 (BoHV-5) belongs to the family Herpesviridae, subfamily Alphaherpesvirinae, genus Varicellovirus. This virus is a major causative agent of non-suppurative meningoencephalitis in young cattle. It was first isolated in 1962 from a neurological disease outbreak in Australia. BoHV-5 is genetically and antigenically related to bovine herpesvirus type 1 (BoHV-1), a highly prevalent virus responsible for respiratory and genital disease in cattle. Initially, BoHV-5 was considered a subtype of BoHV-1 (BoHV-1.3). However, the exclusive presentation of outbreaks of neurological disease suggested that the virus was a new agent with characteristics of neuropathogenicity. Even though both are neurotropic viruses, only BoHV-5 is capable of replicating extensively in the central nervous system and inducing neurological disease. Occasionally, encephalitis caused by BoHV-1 has been reported. Like other alpha-herpesviruses, BoHV-5 can establish latency in nervous ganglia and, by stress factors or glucocorticoid treatment, latent virus can be reactivated. During episodes of reactivation, the virus is excreted in nasal, ocular and genital secretions and transmitted to other susceptible hosts. Recently, BoHV-5 has been associated with infection of the reproductive tract. The virus has been isolated and the presence of viral DNA has been demonstrated in semen samples from Brazil and Australia and natural transmission of the virus through contaminated semen has also been described. Embryos and oocytes are permissive for BoHV-5 infection and BoHV-5 DNA has been detected in the central nervous system of aborted fetuses. The objective of this review is to compile the limited information on the recent association between BoHV-5 and reproductive disorders in cattle.


Introduction
Bovine herpesvirus type 5 (BoHV-5) is a major causative agent of non-suppurative meningoencephalitis in young cattle (Magyar et al., 1993;Schwyzer and Ackermann, 1996;Pérez et al., 2002;Delhon et al., 2003;Del Médico Zajac et al., 2010). The virus was first isolated in 1962 from a neurological disease outbreak in Australia (Johnston et al., 1962). Thereafter, the virus has been sporadically identified in cases of meningoencephalitis in this country (Studdert, 1989;Kirkland et al., 2009), in the United States (d´Offay et al., 1993;Ely et al., 1996) and in Europe (Abdelmagid et al., 1995). However, the disease has a high incidence in South American countries, mainly in Central and Southern Brazil and Argentina (Pérez et al., 2002;Vogel et al., 2003). The reasons for this restricted geographical distribution of neurological cases are unknown. BoHV-5 is genetically and antigenically related to bovine herpesvirus type 1 (BoHV-1), a virus responsible for a variety of clinical syndromes, including respiratory disease, conjunctivitis, abortion and genital infections (Tikoo et al., 1995;Jones and Chowdhury, 2007). After natural or experimental infections, alphaherpesviruses establish latent infections in sensory neurons within trigeminal or dorsal root ganglia (Stevens and Cook, 1971). Viral reactivation from latency can occur naturally, by stress factors, or it can be experimentally induced by glucocorticoid administration. During episodes of reactivation, the virus is re-excreted in nasal, ocular and genital secretions and transmitted to other susceptible hosts http: //www.openveterinaryjournal.com P.A. Favier et al. Open Veterinary Journal, (2012), Vol. 2: 46-53 ________________________________________________________________________________________________________ 47 (Rock et al., 1992). This is the main mechanism by which alpha-herpesviruses are maintained in nature. Initially, BoHV-5 was considered a subtype of BoHV-1 (BoHV-1.3) Studdert, 1989). However, the exclusive presentation of outbreaks of neurological disease suggested that the virus was a new agent with characteristics of neuropathogenicity (Moretti et al., 1964;Watt et al., 1981;Weiblen et al., 1989). Both BoHV-1 and BoHV-5 are neurotropic viruses (Meyer et al., 2001;Pérez et al., 2002;Varela et al., 2010). Nevertheless, both differ in the ability to cause encephalitis (Ashbaugh et al., 1997). Even though encephalitis caused by BoHV-1 has been reported (Meyer et al., 2001), only BoHV-5 is capable of extensive replication in the central nervous system (CNS) and production of neurological disease (Delhon et al., 2003). In 1992, the International Committee on Taxonomy of Viruses recognized BoHV-5 as a distinct virus from BoHV-1 (Roizman, 1992;Pedraza and Alessi, 2004). The decision was based on the results of restriction site mapping of viral DNA (d´Offay et al., 1993;Whetstone et al., 1993), cross-neutralization studies, and reactivity with monoclonal antibodies Collins et al., 1993). Presently, strains of BoHV-5 are designated as subtypes "a", "b" and "non a-non b", according to restriction endonuclease patterns (D'Arce et al., 2002;Maidana et al., 2011). The transient presence of subtype "b" strains has only been described in Argentina. Nevertheless, in this country, the most common circulating BoHV-5 strains belong to subtype "a" (Maidana et al., 2011). Further studies are required to classify additional field strains and to compare with the profile of BoHV-5 variants circulating in other countries.
Properties of BoHV-5 BoHV-5 belongs to the family Herpesviridae, subfamily Alphaherpesvirinae, genus Varicellovirus. The virion is enveloped and its diameter can range from 120 to 250 nm, containing an icosahedral nucleocapsid composed by 162 capsomers (Knowles, 2011). The nucleocapsid is surrounded by a proteinaceous layer, called tegument (Thiry et al., 2006). The genome consists of a single linear molecule of double-stranded DNA and it is classified as a type D genome, which consists of a unique long (UL) and a unique short (US) region, flanked by repeated sequences (Thiry et al., 2006). The genome of BoHV-5 (138, 390 base pairs) is longer than BoHV-1genome and it contains 72 genes (Delhon et al., 2003). Both viruses share 85% genetic similarity (Chowdhury, 1995) and approximately 82% amino acid identity (Delhon et al., 2003).
The lytic replicative cycle of alpha-herpesviruses occurs in a regulated cascade. A virion component activates expression of immediate-early (IE) genes, which have regulatory roles in the activation of early (E) and late (L) genes. In latently infected neurons, the latency-related (LR) gene, a small region of BoHV genome is abundantly transcribed (Rock et al., 1987;Kutish et al., 1990;Schang and Jones, 1997). BoHV-5 -IE proteins (bICP0, bICP4 and bICP22) are the least conserved proteins. The LR gene, which has essential roles in the latency-reactivation cycle of alphaherpesviruses (Jones, 2003), differs markedly from its BoHV-1 counterpart (Delhon et al., 2003), suggesting that this condition may have important consequences on the in vivo virus pathogenesis. In cell cultures, BoHV-1 and BoHV-5 share similar morphology and cytopathic effect. Unlike BoHV-1, BoHV-5 is difficult to isolate in cell culture (Carrillo, 1982;Belknap et al., 1994;d´Offay et al., 1995;Ely et al., 1996;Cascio et al., 1999), even from animals experimentally inoculated and showing neurological signs. The difficulty in virus isolation has been related to the low viral titers in tissues samples (Belknap et al., 1994). Traditionally, BoHV-1 and BoHV-5 are differentiated based on the clinical features of the outbreaks and on DNA restriction profiles after virus isolation (Afonso et al., 2007). More recently, the development of specific PCR techniques has allowed the precise differentiation of both viruses in clinical samples (van Engelenburg et al., 1993Chowdhury, 1995;Diallo et al., 2010).
Neurological disease associated with BoHV-5 Outbreaks of meningoencephalitis caused by BoHV-5 are commonly observed in South American countries (Pérez et al., 2002;Vogel et al., 2003). The prevalence of BoHV-5 is presently unknown, mainly because of the serological cross-reactivity with BoHV-1 (Vogel et al., 2002;Oldoni et al., 2004;Diel et al., 2007). The first outbreak of BoHV-5 in Argentina was described in 1982 (Carrillo, 1982). However, in a retrospective study of Argentinean cases with histopathological diagnosis of cerebrocortical necrosis between 1970 and 1999, Pérez et al. (2003) demonstrated by in situ hybridization that BoHV-5 DNA was present in some archival sections of neural tissues. Results from this study confirmed that BoHV-5 was circulating in the country long before the virus was recognized as a causative agent of neurological disorder in cattle. BoHV-1 pathogenesis has been studied in detail and many aspects can be extrapolated to BoHV-5. The respiratory tract is the main portal of entry of BoHV into the organism. Initial viral replication in the epithelium of the upper respiratory tract and in the http://www.openveterinaryjournal.com P.A. Favier et al. Open Veterinary Journal, (2012), Vol. 2: 46-53 ________________________________________________________________________________________________________ 48 tonsils may lead to slight respiratory signs (Meyer et al., 2001;Vogel et al., 2004). Primary replication at the site of entry may last for 15 days (Vogel et al., 2004). In the case of BoHV-5, after replication at mucosal sites, the virus reaches the CNS where viral replication causes neurological damage (Beltrão et al., 2000, Meyer et al., 2001, Pérez et al., 2002. Two main routes have been described for the access of BoHV-5 to the CNS, 1) via the olfactory tract, through the terminals of the axons that innervate the olfactory mucosa (Nakazato et al., 2000;Pérez et al., 2002) and, 2) via trigeminal nerve, reaching the sensory neurons of trigeminal ganglia where latency is established Lee et al., 1999;Coelho and Vidor, 2001;Pérez et al., 2002Pérez et al., , 2005. Unlike BoHV-1, latency of BoHV-5 in other sites of CNS is also possible (Meyer et al., 2001). It has been suggested that viral reactivation from latency may lead to virus spread to different areas of the brain and this would be responsible for the presence of mild neurological signs during episodes of reactivation (Vogel et al., 2003). Neurological signs begin 9 to 10 days post-infection and they include tremors, depression, opistothonus, nystagmus, teeth gridding, circling and recumbency (Carrillo et al., 1983;Beltrão et al., 2000;Meyer et al., 2001, Pérez et al., 2002Vogel et al., 2003). Signs are progressive and usually fatal (Belknap et al., 1994;Beltrão et al., 2000). BoHV-5 has been considered a classical neurotropic herpesvirus. However, Schudel et al. (1986) demonstrated that the virus was not restricted to the CNS of animals with clinical signs since the virus was isolated, in parallel, from the respiratory tract. Moreover, in this study, BoHV-5 was recovered from an aborted fetus from a farm in which sporadic cases of abortion were recorded but no cases of neurological disease had been observed. Thus, it is apparent that the virus it not only confined to the respiratory tract and CNS. This is the first presumptive association of BoHV-5 with clinical syndromes different from neurological disease. Genital disease associated with BoHV-1 and recent findings on reproductive disorders associated with BoHV-5 BoHV-1 isolates are classified into two subtypes; BoHV-1.1, which is mainly responsible for bovine infectious rhinotracheitis, and BoHV-1.2, which is regularly isolated from cases of genital disease . The biological differences between subtypes are not clear. Although both subtypes are able to infect the respiratory and genital tracts, it is apparent that each genotype has specific adaptations for growing in particular tissues. Rijsewijk et al. (1999) suggested that differences in glycoprotein C may be responsible for the distinct phenotypes.
Infections of the reproductive tract are usually caused and disseminated by artificial insemination (AI) (Turin et al., 1999). Genital disorders associated with BoHV-1 include pustular balanoposthitis and vulvovaginitis.
Balanoposthitis is usually accompanied by a reduction in semen quality . It is known that insemination of cows with BoHV-1-contaminated semen can also cause abortion, infertility and endometritis (Elazhary et al., 1980) and it has been demonstrated that the virus dose required to infect the cow via contaminated semen is extremely low, approximately 32 infectious viral particles (Bielanski et al., 1988;Turin et al., 1999). Although abortions might occur as a consequence of genital disease, they are more frequently observed after BoHV-1 respiratory outbreaks (Turin et al., 1999). In the bull, the virus replicates in the mucosa of the prepuce, penis and urethra after entering the organism via the respiratory or genital tract . Contamination of the semen occurs during ejaculation from virus present in the mucosa of the reproductive tract . Thus, BoHV-1 DNA is detected in the seminal fluid fraction (van Engelenburg et al., 1993;. After genital infection, BoHV-1 establishes latency in sacral ganglia and virus reactivation is a potential source for semen contamination (Ackermann and Wyler, 1984). It is well-established that BoHV-1latently infected cattle can excrete virus, intermittently, in semen (van Engelenburg et al., 1993. Therefore, sero-positive bulls should not be allowed in AI centers. Nevertheless, Lemaire et al. (2000) also reported the existence of sero-negative latent carriers, which are an epidemiological threat for AI centers. Furthermore, BoHV-1 is detected in semen during primary infection, before the onset of clinical signs (Weiblen et al., 1992). Therefore, animals without evidence of clinical disease are also a potential source of venereal virus transmission. Recently, there have been several reports describing the detection of BoHV-5 in bull semen. Gomes et al. (2003) showed that 6 out of 20 (30%) semen samples, previously considered positive for the presence of BoHV-1 were, indeed, BoHV-5-positive, when reevaluated by a BoHV-5-specific PCR. In Brazil, a semen sample from an apparently healthy bull, which was identified as BoHV-1-positive during virus surveillance at an AI center in 1996 was reanalyzed by Esteves et al. (2003). In this work, the isolate previously characterized as BoHV-1 was reclassified as BoHV-5. The identity of the virus was determined by the use of BoHV-5-specific monoclonal antibodies in an immunoperoxidase assay and by a gC BoHV-1/5 PCR.
http: //www.openveterinaryjournal.com P.A. Favier et al. Open Veterinary Journal, (2012), Vol. 2: 46-53 ________________________________________________________________________________________________________ 49 The first evidence of natural transmission of BoHV-5 through contaminated semen was described by Kirkland et al. (2009), in Australia. Later, in the same country, Diallo et al. (2010) isolated the virus from cryopreserved semen of a healthy bull. The identity of the virus was confirmed by PCR and by direct amplicon sequencing, demonstrating the importance of using molecular techniques for the detection of viral agents in semen samples. In Brazil, Oliveira et al. (2011) used a two species-specific nested PCR which differentiates BoHV-1 and BoHV-5 and they identified BoHV-5 DNA in 100% (76/76) semen samples. Additionally, in 44.7% (34/76) samples, BoHV-1 DNA was also present. Kirkland et al. (2009) described an outbreak of vulvovaginitis with clinical signs and gross lesions identical to those caused by BoHV-1. After virus isolation, BoHV-1 was considered the presumptive causal agent of the genital infection. Later, by restriction enzyme analysis and quantitative PCR it was determined that BoHV-5 was the virus detected in the semen of the bull used for AI. Therefore, it was suggested that BoHV-5 was responsible for the outbreak of vulvovaginitis previously attributed to BoHV-1. Silva-Frade et al. (2010b) documented the detection of BoHV-5 DNA in the acrosomal region and tail of spermatozoids experimentally exposed to the virus. Nevertheless, it has not been elucidated whether the virus infects the spermatozoid or it is attached to its surface. Among the sperm parameters, the velocity of spermatozoid progression seems to be reduced and a low level of apoptosis, without affecting the total quality of the sperm, has also been reported (Souza et al., 2011). Apparently, unlike BoHV-1 (Tanghe et al., 2005), experimental BoHV-5 infection of spermatozoids does not interfere with in vitro fertilization or embryo development (Souza et al., 2011). Silva-Frade et al. (2010a) demonstrated that oocytes and embryos were infected by BoHV-5 when experimentally exposed to the virus. By in situ hybridization it was shown that the virus was present in the cumulus cells of the oocytes and in the inner cells of the embryos. BoHV-5 decreased the cleavage rate of oocytes only when they were grown in medium containing fetal bovine serum. However, adverse effects were not observed when polyvinyl alcohol medium was used. Thus, the effect on cleavage rate seems to be dependent on other conditions rather than BoHV-5 infection alone. Viral replication in oocytes and embryos was proved by an increase in virus titers from an inoculation dose of 10 2.3 TCID 50 /50μl to 10 5.3 TCID 50 /50μl at the embryo stage (Silva-Frade et al., 2010b), demonstrating that these cells are permissive for BoHV-5 infection.
Abortions are a common sequel of BoHV-1respiratory infection. However, the role of BoHV-5 in abortion has not been definitively demonstrated. Recently, in Argentina, Marin et al. (2011) identified BoHV-5 in the CNS of aborted fetuses. Virus isolation from fetal spleen and brain on MDBK cells, a multiplex PCR and seroneutralization tests for BoHV-1 and 5 were carried out. BoHV was not isolated. Nevertheless, BoHV-5 DNA-specific sequences were detected in fetal nervous tissue by multiplex PCR and confirmed by sequencing of PCR products. The presence of BoHV-5 DNA in aborted fetal nervous system is the first description of this virus in association with bovine abortion. The use of molecular biology techniques for the identification of BoHV-5 in this study was essential to improve the sensitivity of the diagnosis of infectious causes of bovine abortion, especially when autolysis was present. It also allowed the differentiation of the type of BoHV involved. Although virus DNA detection does not prove BoHV-5 is responsible for the abortion, its presence in fetal tissues is suggestive of its involvement. Many aspects of BoHV-5 association with genital disease remain to be elucidated. It is likely that the pathogenesis of this disorder is similar to that of BoHV-1. However, further studies are required to establish the role of the virus in the infection of the reproductive tract. Furthermore, other issues need to be addressed. For example, it has not been established whether the infection of a cow with contaminated semen can lead to a latent infection or whether infection by this route can cause neurological disease. Batches of frozen semen from bulls of accredited AI centers are normally certified negative for acute epidemic diseases. Presently, an increasing number of these centers are also certified negative for viruses like bovine leukemia virus (BLV), BoHV-1 and bovine viral diarrhea virus (BVDV) (Wrathall et al., 2006). The precise role of BoHV-5 in reproductive disease of cattle is still under study. However, the sole presence of the virus in bovine semen should be considered as a threat for the international trade of frozen semen. As a consequence, detection of BoHV-5 should be included in the pathogen screening policies of AI centers.
Conclusion For decades, BoHV-5 has been considered a viral agent with exclusive tropism for the CNS. However, recent reports have involved BoHV-5 in the development of genital disease. Presently, the studies on the role of BoHV-5 in diseases of the reproductive tract are not conclusive. However, there are many evidences that demonstrate that the virus is a potential threat for AI centers since http: //www.openveterinaryjournal.com P.A. Favier et al. Open Veterinary Journal, (2012), Vol. 2: 46-53 ________________________________________________________________________________________________________ 50 it is excreted in semen and it can be transmitted to susceptible cows. To prevent the spread of the virus by AI, all semen samples, even those of apparently healthy bulls, should be analyzed. Further studies are required to establish the precise role of BoHV-5 in bovine abortion and other conditions of the genital tract. Furthermore, this review highlights the importance of the application of molecular biology techniques for the characterization and differentiation of bovine herpesviruses in clinical samples. ___________________________________________